Is an online consultation for shoulder pain reliable and valid?

Ann Cools, New in

This was the question the Master students Rehabilitation Sciences and Physiotherapy from Ghent University Léonie Lejon, Yao Lin, and Silke Schotte wanted to answer with their project. The covid pandemic has forced us to examine, treat and guide patients with shoulder pain through internet communication as an alternative for the usual care in vivo. Many […]

July 5, 2021

From research to clinic: how do injury prevention programs work to decrease shoulder injuries in sports?

Ann Cools, Clinical Pearls

Although we don’t know their real interaction, common risk factors for sportsrelated shoulder pain have been described, such as range of motion deficits, mainly into internal rotation (IR), external rotator ER) strength deficits, scapular dysfunction, but also a lack of core stability, hip stability and mobility.  (Clarsen et al. BJSM 2014, Chalmers et al. Sports […]

May 10, 2021

Who will redislocate his/her shoulder? Predicting recurrent instability following a first traumatic anterior shoulder dislocation

Ann Cools, New in

The incidence of a traumatic shoulder dislocation is 23/100 000 persons/year with a recurrence rate from 26% up to 92%. Incidence of a first time traumatic anterior shoulder dislocation (FTASD) is higher in contact sports, and recurrence rate depends upon risk factors that may be modifiable (such as activity level) or non-modifiable (such as age […]

January 10, 2020

Screening tests for the overhead athlete: why, when and how?

Ann Cools, Events

On October 4-5th  2019, sports physiotherapists from all over the world gathered for the 3rd World Congress of Sports Physiotherapists ( A major topic of discussion was the value of screening (ROM, strength, functional tests…) for injury prevention and return to play after injury. The world experts agree that at this moment, there is not […]

October 9, 2019

Gentle exercises for Parsonage Turner

Ann Cools, Clinical Pearls

Parsonage-Turner syndrome (PTS) is an uncommon neurological disorder characterized by rapid and idiopathic onset of severe pain in the shoulder and arm. It involves mainly the plexus brachialis and/or the n. thoracicus longus or accessorius. Often the patient reports getting up in the morning with a painful arm and a substantial scapular malpositioning (“I felt […]

July 19, 2019

Message in a physio-bottle: what can we tell our patients and more importantly, how?

Ann Cools, Clinical Pearls

Efficient communication with patients is challenging but crucial in our shared pathway through rehabilitation. There is a great body of evidence highlighting the importance of acknowledging the psycho-social and emotional context of the patient (De Baets et al. 2019), efficient communication (Bukstein et al. 2016),  shared decision making, and patient centered approach (Wijma et al. […]

July 5, 2019

Clinical examination of the shoulder: time to change direction from diagnosing the structural diagnosis towards symptom modification tests.

Ann Cools, Clinical Pearls

The purpose of the physical examination of a patient with shoulder pain is multifactorial. The clinician seeks information about tissue irritability, pain mechanisms, activity and participation limits, the patient’s expectations and goals etc…During the clinical examination, one of the purposes it to examine possible underlying biomechanical factors causing or perpetuating the current movement limitations and/or […]

January 11, 2019

Exercise Therapy in the non-operative treatment of degenerative rotator cuff tears: which exercises should we prescribe?

Ann Cools, Clinical Pearls

Recent studies have shown that patients with degenerative rotator cuff (RC) tears have similar good results from an exercise program compared to surgical intervention (Jeanfavre M et al. IJSPT 2018). In the conservative treatment of RC tears, it is advised to use function-based rather than structure-based exercises. In other words it is much more important […]

January 11, 2019